KENNETH MICHAEL KINGDON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

MICHAEL

Last Name

KINGDON

Business Name

KENNETH MICHAEL KINGDON MD

Original Issue Date

08/03/2010

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014